Organization
SIGNATURE MEDICAL GROUP OF KC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN VEST (CEO)
(314) 849-0311
Entity
Organization
Contact information
Practice address
7255 RENNER RD, SHAWNEE MISSION, KS 66217-3043
(913) 788-7111
(913) 788-3702
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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